Mobile access to Health Documents (MHD)
4.2.1 - Trial-Implementation
Mobile access to Health Documents (MHD)
4.2.1 - Trial-Implementation
This page is part of the IHE Mobile Access to Health Documents (v4.2.1: Publication) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions 
<Bundle xmlns="http://hl7.org/fhir">
<id value="ex-comprehensiveProvideDocumentBundleDocument"/>
<meta>
<profile
value="https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.ProvideBundle"/>
<security>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<code value="HTEST"/>
</security>
</meta>
<type value="transaction"/>
<timestamp value="2004-10-25T23:50:50-05:00"/>
<entry>
<fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300001"/>
<resource>
<List>
<id value="aaaaaaaa-bbbb-cccc-dddd-e00333300001"/>
<meta>
<profile
value="https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.SubmissionSet"/>
<security>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<code value="HTEST"/>
</security>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">SubmissionSet with Patient</div>
</text>
<extension
url="https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="225728007"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-sourceId">
<valueIdentifier>
<value value="urn:oid:1.2.3.4"/>
</valueIdentifier>
</extension>
<identifier>
<use value="official"/>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:5d3d3a7d-82a6-4fe0-8d87-ee2cb87fa219"/>
</identifier>
<identifier>
<use value="usual"/>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:1.2.129.6.58.92.88337.1"/>
</identifier>
<status value="current"/>
<mode value="working"/>
<code>
<coding>
<system
value="https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes"/>
<code value="submissionset"/>
</coding>
</code>
<subject>
<reference value="Patient/ex-patient"/>
</subject>
<date value="2004-10-25T23:50:50-05:00"/>
<entry>
<item>
<reference value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300002"/>
</item>
</entry>
</List>
</resource>
<request>
<method value="POST"/>
<url value="List"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300002"/>
<resource>
<DocumentReference>
<id value="aaaaaaaa-bbbb-cccc-dddd-e00333300002"/>
<meta>
<profile
value="https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.DocumentReference"/>
<security>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<code value="HTEST"/>
</security>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: DocumentReference</b><a name="aaaaaaaa-bbbb-cccc-dddd-e00333300002"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource DocumentReference "aaaaaaaa-bbbb-cccc-dddd-e00333300002" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-IHE.MHD.Comprehensive.DocumentReference.html">MHD DocumentReference Comprehensive</a></p><p style="margin-bottom: 0px">Security Labels: <span title="{http://terminology.hl7.org/CodeSystem/v3-ActReason http://terminology.hl7.org/CodeSystem/v3-ActReason}">http://terminology.hl7.org/CodeSystem/v3-ActReason</span></p></div><p><b>masterIdentifier</b>: id: urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0</p><p><b>identifier</b>: id: urn:uuid:7d5bb8ac-68ee-4926-85e7-b8aac8e1f09d (use: OFFICIAL)</p><p><b>status</b>: current</p><p><b>type</b>: Attending Discharge summary <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#28655-9)</span></p><p><b>category</b>: History of Immunization Narrative <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#11369-6)</span></p><p><b>subject</b>: <a href="Patient-ex-patient.html">Patient/ex-patient</a> " SCHMIDT"</p><p><b>date</b>: Feb 1, 2020, 10:50:50 PM</p><p><b>author</b>: <a name="aaaaaaaa-bbbb-cccc-dddd-e00333300006"> </a></p><blockquote><p/><p><a name="aaaaaaaa-bbbb-cccc-dddd-e00333300006"> </a></p><p><b>identifier</b>: id: 23</p><p><b>name</b>: Adam Careful </p></blockquote><p><b>securityLabel</b>: normal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-v3-Confidentiality.html">Confidentiality</a>#N)</span></p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ContentType</b></td><td><b>Language</b></td><td><b>Url</b></td><td><b>Title</b></td><td><b>Creation</b></td></tr><tr><td style="display: none">*</td><td>application/fhir+json</td><td>en</td><td><code>urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300003</code></td><td>Discharge Summary from Responsible Clinician</td><td>2013-05-28 22:12:21+0000</td></tr></table><p><b>format</b>: mimeType Sufficient (Details: http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode code urn:ihe:iti:xds:2017:mimeTypeSufficient = 'mimeType Sufficient', stated as 'null')</p></blockquote><h3>Contexts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Encounter</b></td><td><b>FacilityType</b></td><td><b>PracticeSetting</b></td><td><b>SourcePatientInfo</b></td></tr><tr><td style="display: none">*</td><td><a href="Bundle-ex-fhir-document-bundle.html#http-//example.org/fhir/Encounter/doc-example">http://example.org/fhir/Encounter/doc-example</a></td><td>Children's hospital <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#82242000)</span></td><td>Adult mental illness - specialty (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#408467006)</span></td><td><a name="aaaaaaaa-bbbb-cccc-dddd-e00333300004"> </a><blockquote><p/><p><a name="aaaaaaaa-bbbb-cccc-dddd-e00333300004"> </a></p><p><b>identifier</b>: id: mrn-1234</p><p><b>name</b>: Dee Schmidt </p></blockquote></td></tr></table><hr/><blockquote><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;"><b>Dee Schmidt </b> (no stated gender), DoB Unknown ( id: mrn-1234)</p><hr/></blockquote><hr/><blockquote><p><b>Generated Narrative: Practitioner #aaaaaaaa-bbbb-cccc-dddd-e00333300006</b><a name="aaaaaaaa-bbbb-cccc-dddd-e00333300006"> </a></p><p><b>identifier</b>: id: 23</p><p><b>name</b>: Adam Careful </p></blockquote></div>
</text>
<contained>
<Patient>
<id value="aaaaaaaa-bbbb-cccc-dddd-e00333300004"/>
<identifier>
<system value="http://example.org/patients"/>
<value value="mrn-1234"/>
</identifier>
<name>
<family value="Schmidt"/>
<given value="Dee"/>
</name>
</Patient>
</contained>
<contained>
<Practitioner>
<id value="aaaaaaaa-bbbb-cccc-dddd-e00333300006"/>
<identifier>
<system value="http://www.acme.org/practitioners"/>
<value value="23"/>
</identifier>
<name>
<family value="Careful"/>
<given value="Adam"/>
<prefix value="Dr"/>
</name>
</Practitioner>
</contained>
<masterIdentifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0"/>
</masterIdentifier>
<identifier>
<use value="official"/>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:7d5bb8ac-68ee-4926-85e7-b8aac8e1f09d"/>
</identifier>
<status value="current"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="28655-9"/>
</coding>
</type>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="11369-6"/>
</coding>
</category>
<subject>
<reference value="Patient/ex-patient"/>
</subject>
<date value="2020-02-01T23:50:50-05:00"/>
<author>
<reference value="#aaaaaaaa-bbbb-cccc-dddd-e00333300006"/>
</author>
<securityLabel>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
<code value="N"/>
</coding>
</securityLabel>
<content>
<attachment>
<contentType value="application/fhir+json"/>
<language value="en"/>
<url value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300003"/>
<title value="Discharge Summary from Responsible Clinician"/>
<creation value="2013-05-28T22:12:21Z"/>
</attachment>
<format>
<system
value="http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode"/>
<code value="urn:ihe:iti:xds:2017:mimeTypeSufficient"/>
</format>
</content>
<context>
<encounter>
<reference value="http://example.org/fhir/Encounter/doc-example"/>
</encounter>
<facilityType>
<coding>
<system value="http://snomed.info/sct"/>
<code value="82242000"/>
</coding>
</facilityType>
<practiceSetting>
<coding>
<system value="http://snomed.info/sct"/>
<code value="408467006"/>
</coding>
</practiceSetting>
<sourcePatientInfo>
<reference value="#aaaaaaaa-bbbb-cccc-dddd-e00333300004"/>
</sourcePatientInfo>
</context>
</DocumentReference>
</resource>
<request>
<method value="POST"/>
<url value="DocumentReference"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300003"/>
<resource>
<Bundle>
<id value="father"/>
<meta>
<lastUpdated value="2013-05-28T22:12:21Z"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0"/>
</identifier>
<type value="document"/>
<timestamp value="2013-05-28T22:12:21Z"/>
<entry>
<fullUrl
value="http://example.org/fhir/Composition/180f219f-97a8-486d-99d9-ed631fe4fc57"/>
<resource>
<Composition>
<id value="180f219f-97a8-486d-99d9-ed631fe4fc57"/>
<meta>
<lastUpdated value="2013-05-28T22:12:21Z"/>
</meta>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="28655-9"/>
</coding>
<text value="Discharge Summary from Responsible Clinician"/>
</type>
<subject>
<reference
value="http://example.org/fhir/Patient/ex-patient"/>
</subject>
<encounter>
<reference
value="http://example.org/fhir/Encounter/doc-example"/>
</encounter>
<date value="2013-02-01T12:30:02Z"/>
<author>
<reference value="Practitioner/ex-practitioner"/>
</author>
<title value="Discharge Summary"/>
<confidentiality value="N"/>
<section>
<title value="Reason for admission"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="29299-5"/>
<display value="Reason for visit Narrative"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<thead>
<tr>
<td>Details</td>
<td/>
</tr>
</thead>
<tbody>
<tr>
<td>Acute Asthmatic attack. Was wheezing for days prior to admission.</td>
<td/>
</tr>
</tbody>
</table>
</div>
</text>
<entry>
<reference
value="urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81"/>
</entry>
</section>
<section>
<title value="Medications on Discharge"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="10183-2"/>
<display
value="Hospital discharge medications Narrative"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<thead>
<tr>
<td>Medication</td>
<td>Last Change</td>
<td>Last ChangeReason</td>
</tr>
</thead>
<tbody>
<tr>
<td>Theophylline 200mg BD after meals</td>
<td>continued</td>
</tr>
<tr>
<td>Ventolin Inhaler</td>
<td>stopped</td>
<td>Getting side effect of tremor</td>
</tr>
</tbody>
</table>
</div>
</text>
<mode value="working"/>
<entry>
<reference
value="urn:uuid:124a6916-5d84-4b8c-b250-10cefb8e6e86"/>
</entry>
<entry>
<reference
value="urn:uuid:673f8db5-0ffd-4395-9657-6da00420bbc1"/>
</entry>
</section>
<section>
<title value="Known allergies"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48765-2"/>
<display
value="Allergies and adverse reactions Document"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<thead>
<tr>
<td>Allergen</td>
<td>Reaction</td>
</tr>
</thead>
<tbody>
<tr>
<td>Doxycycline</td>
<td>Hives</td>
</tr>
</tbody>
</table>
</div>
</text>
<entry>
<reference
value="urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Practitioner/ex-practitioner"/>
<resource>
<Practitioner>
<id value="ex-practitioner"/>
<meta>
<lastUpdated value="2013-05-05T16:13:03Z"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>Dr Adam Careful</p>
</div>
</text>
<identifier>
<system value="http://www.acme.org/practitioners"/>
<value value="23"/>
</identifier>
<name>
<family value="Careful"/>
<given value="Adam"/>
<prefix value="Dr"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/fhir/Patient/ex-patient"/>
<resource>
<Patient>
<id value="ex-patient"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<h1>Eve Everywoman</h1>
</div>
</text>
<active value="true"/>
<name>
<text value="Eve Everywoman"/>
<family value="Everywoman1"/>
<given value="Eve"/>
</name>
<telecom>
<system value="phone"/>
<value value="555-555-2003"/>
<use value="work"/>
</telecom>
<gender value="female"/>
<birthDate value="1955-01-06"/>
<address>
<use value="home"/>
<line value="2222 Home Street"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/fhir/Encounter/doc-example"/>
<resource>
<Encounter>
<id value="doc-example"/>
<meta>
<lastUpdated value="2013-05-05T16:13:03Z"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"> Admitted to Orthopedics Service,
Middlemore Hospital between Jan 20 and Feb ist 2013 </div>
</text>
<identifier>
<value value="S100"/>
</identifier>
<status value="finished"/>
<class>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMP"/>
<display value="inpatient encounter"/>
</class>
<type>
<text value="Orthopedic Admission"/>
</type>
<subject>
<reference
value="http://example.org/fhir/Patient/ex-patient"/>
</subject>
<period>
<start value="2013-01-20T12:30:02Z"/>
<end value="2013-02-01T12:30:02Z"/>
</period>
<hospitalization>
<dischargeDisposition>
<text value="Discharged to care of GP"/>
</dischargeDisposition>
</hospitalization>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81"/>
<resource>
<Observation>
<meta>
<lastUpdated value="2013-05-05T16:13:03Z"/>
</meta>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml"> Acute Asthmatic attack. Was wheezing
for days prior to admission. </div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="46241-6"/>
</coding>
<text value="Reason for admission"/>
</code>
<subject>
<reference
value="http://example.org/fhir/Patient/ex-patient"/>
</subject>
<encounter>
<reference
value="http://example.org/fhir/Encounter/doc-example"/>
</encounter>
<valueString
value="Acute Asthmatic attack. Was wheezing for days prior to admission."/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:124a6916-5d84-4b8c-b250-10cefb8e6e86"/>
<resource>
<MedicationRequest>
<meta>
<lastUpdated value="2013-05-05T16:13:03Z"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>Theophylline 200mg twice a day</p>
</div>
</text>
<status value="unknown"/>
<intent value="order"/>
<medicationCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="66493003"/>
</coding>
<text value="Theophylline 200mg"/>
</medicationCodeableConcept>
<subject>
<reference
value="http://example.org/fhir/Patient/ex-patient"/>
</subject>
<requester>
<reference
value="http://example.org/fhir/Practitioner/ex-practitioner"/>
</requester>
<reasonCode>
<text value="Management of Asthma"/>
</reasonCode>
<dosageInstruction>
<additionalInstruction>
<text value="Take with Food"/>
</additionalInstruction>
<timing>
<repeat>
<frequency value="2"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="394899003"/>
<display value="oral administration of treatment"/>
</coding>
</route>
<doseAndRate>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
<code value="ordered"/>
<display value="Ordered"/>
</coding>
</type>
<doseQuantity>
<value value="1"/>
<unit value="tablet"/>
<system
value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
<code value="TAB"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:673f8db5-0ffd-4395-9657-6da00420bbc1"/>
<resource>
<MedicationStatement>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>Ventolin inhaler discontinued</p>
</div>
</text>
<status value="active"/>
<statusReason>
<text value="Management of Asthma"/>
</statusReason>
<medicationCodeableConcept>
<text value="Ventolin Inhaler"/>
</medicationCodeableConcept>
<subject>
<reference
value="http://example.org/fhir/Patient/ex-patient"/>
</subject>
<dateAsserted value="2013-05-05T16:13:03Z"/>
</MedicationStatement>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637"/>
<resource>
<AllergyIntolerance>
<meta>
<lastUpdated value="2013-05-05T16:13:03Z"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Sensitivity to Doxycycline :
Hives</div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
</verificationStatus>
<type value="allergy"/>
<criticality value="high"/>
<code>
<text value="Doxycycline"/>
</code>
<patient>
<reference
value="http://example.org/fhir/Patient/ex-patient"/>
</patient>
<recordedDate value="2012-09-17"/>
<reaction>
<manifestation>
<text value="Hives"/>
</manifestation>
</reaction>
</AllergyIntolerance>
</resource>
</entry>
</Bundle>
</resource>
<request>
<method value="POST"/>
<url value="Bundle"/>
</request>
</entry>
</Bundle>
IG © 2020+ IHE IT Infrastructure Technical Committee. Package ihe.iti.mhd#4.2.1 based on FHIR 4.0.1. Generated 2023-08-02
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